游离分叶穿支皮瓣临床应用专家共识  

Expert Consensus on the Application of Free Polyfoliate Perforator Flaps

作　　者：唐举玉[1] 章一新[2] 张世民 芮永军 丁小珩[5] 王欣 徐雷 赵广跃 张树明[9] 朱庆棠[10] 陈山林[11] 李文军[11] 范新宇 郑宪友[13] 顾施辉 吴攀峰[1] 战杰[14] 刘亚平 郑晓菊 张兴 尹路[18] 俞芳[1] 卿黎明[1] 谢松林[19] 刘鸣江[20] 刘俊 夏晓丹 李匡文 刘飞[24] 王增涛[25] 汪华侨 穆广态 唐茂林[28] 徐永清[12] 顾立强[10] 徐达传[29] 侯春林[30] TANG Juyu;ZHANG Yixin;ZHANG Shimin;RUI Yongjun;DING Xiaoheng;WANG Xin;XU Lei;ZHAO Guangyue;ZHANG Shuming;ZHU Qingtang;CHEN Shanlin;LI Wenjun;FAN Xinyu;ZHENG Xianyou;GU Shihui;WU Panfeng;ZHAN Jie;LIU Yaping;ZHENG Xiaoju;ZHANG Xing;YIN Lu;YU Fang;QING Liming;XIE Songlin;LIU Mingjiang;LIU Jun;XIA Xiaodan;LI Kuangwen;LIU Fei;WANG Zengtao;WANG Huaqiao;MU Guangtai;TANG Maolin;XU Yongqing;GU Liqiang;XU Dachuan;HOU Chunlin(Department of Orthopaedics,Hand and Microsurgery,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Plastic Surgery,the Ninth People’s Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 200023,China;Department of Orthopaedics,Yangpu Hospital Affiliated to Tongji University,Shanghai 200290,China;Department of Hand Surgery,Wuxi Ninth People’s Hospital,Wuxi 214062,China;Department of Hand and Foot Microsurgery,Affiliated Hospital of Qingdao University,Qingdao 266003,China;Department of Hand Surgery,Ningbo Sixth People’s Hospital,Ningbo 315000,China;Department of Hand Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Orthopaedics,Xi'an People's Hospital,Xi'an 710005,China;Department of Orthopaedics,PLA Rocket Force General Hospital,Beijing 100088,China;Department of Microsurgery,Trauma and Hand Surgery,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Hand Surgery,Beijing Jishuitan Hospital,Beijing 102208,China;Institute of Orthopaedics Trauma of the Whole Army,the 920 Hospital of PLA Joint Logistics Support Force,Kunming 650032,China;Department of Orthopaedics,Shanghai Sixth People's Hospital,Shanghai 528225,China;Department of Hand Surgery,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110075,China;Department of Hand and Foot Microsurgery,Modern Hospital of Sichuan,Chengdu 610047,China;Department of Hand and Foot Microsurgery,Xi'an Fengcheng Hospital,Xi'an 710018,China;Department of Hand Microsurgery,Pingdingshan Zhanhe Orthopeadics Hospital,Pingdingshan 4

机构地区：[1]中南大学湘雅医院骨科-手显微外科,长沙410008 [2]上海交通大学附属第九人民医院整复外科,上海200023 [3]同济大学附属杨浦医院骨科,上海200090 [4]无锡市第九人民医院手外科,无锡214062 [5]青岛大学附属医院手足显微外科,青岛266003 [6]宁波市第六人民医院手外科,宁波315000 [7]复旦大学附属华山医院手外科,上海200040 [8]西安市人民医院骨科,西安710005 [9]中国人民解放军火箭军医院骨科,北京100088 [10]中山大学附属第一医院显微创伤手外科,广州510080 [11]北京积水潭医院手外科,北京102208 [12]中国人民解放军第九二〇医院全军创伤骨科研究所,昆明650032 [13]上海市第六人民医院骨科,上海528225 [14]沈阳医学院附属中心医院手外科,沈阳日110075 [15]四川现代医院手足显微外科,成都610047 [16]西安凤城医院手足显微外科,西安710018 [17]河南省平顶山市湛河骨伤科医院手显微外科,平顶山467021 [18]天津大学附属天津医院手外科,天津300211 [19]南华大学附属南华医院手足外科,衡阳421000 [20]南华大学附属长沙中心医院手外科,长沙410028 [21]郴州市人民医院骨科,郴州423099 [22]清远市人民医院手外科,清远511518 [23]南方医科大学深圳医院骨科,深圳518101 [24]宁夏医科大学总医院手足踝外科,银川750004 [25]山东省立医院手足显微外科,济南250021 [26]《中华显微外科杂志》编辑部,广州510062 [27]武警宁夏总队医院,银川750001 [28]温州医科大学人体解剖学教研室,温州325035 [29]南方医科大学,广州510515 [30]上海长征医院骨科,上海200003

出　　处：《中华显微外科杂志》2024年第6期601-610,共10页Chinese Journal of Microsurgery

摘　　要：分叶穿支皮瓣是在传统分叶肌皮瓣、分叶筋膜皮瓣和穿支皮瓣基础上发展而来的一种新型皮瓣,打破了深筋膜血管网是皮瓣成活的基础的传统观念,使皮瓣以最小的供区损害能够获得最佳的受区外形和功能,皮瓣移植迈向自由王国。为了提高临床对分叶穿支皮瓣的认识,进一步规范分叶穿支皮瓣的临床应用,本文就分叶穿支皮瓣的定义、分类、适应证、手术要点、注意事项等问题形成共识,为临床医生在诊疗过程和实际应用中提供参考。The polyfoliate perforator flap is a new type of flap that was developed on the basis of the traditional polyfoliate myocutaneous flap,polyfoliate fascial flap and perforator flap.It overturns the traditional idea that the deep fascial vascular network is the fundamental for a survival of the flap,and enables the flaps to achieve the best profile and function of the recipient areas with minimal damage to the donor area.In order to improve the understanding of the polyfoliate perforator flap and further standardise its clinical application,this paper forms a consensus on the definition,classification,indications,operative points and precautions of the polyfoliate perforator flap,so as to provide references in diagnosis and treatment process and practical application for the surgeons.

关 键 词：分叶穿支皮瓣 游离皮瓣 显微外科技术 专家共识 

分 类 号：R687.3[医药卫生—骨科学]